Occupancy rate
78%
In line with Missouri averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Shepherd of the Hills Living Center
Shepherd of the Hills Living Center is located in Branson, MO. It provides comprehensive long-term care services under physician supervision, ensuring the highest practicable physical, mental, and psychosocial well-being for residents. The facility offers a wide range of services including 24/7 professional medical care, rehabilitation services, and daily activities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.2%
Residents per day (avg)
78
Occupancy rate
78.2%
Residents per day (avg)
78
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
51% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.0M
Operating loss
-$216.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$7,006,934.00
Operating loss
$-216,713.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.2M
100-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
78 / 100
Average residents
72 per day
License details
Facility type
Snf
County:
TANEY
Additional licensing details
CMS Certification Number:
265393
Certification type:
Medicare/Medicaid
Ownership & operating entity
Shepherd of the Hills Living Center is administrated by JEREMY OSENGA.
Owner name:
N & R OF BRANSON, LLC
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Transportation, 24/7 Professional Medical Care, Housekeeping & Laundry, Daily Activities, Rehab Services
Dining & Nutrition
Food Description
The facility offers a complete dining service where residents can select their meals based on individual preferences.
Health Inspection History
Inspections
Total health inspections
6
Missouri average 6.6
Last Health inspection on Jul 2025
Total health citations
25
Citations per inspection
4.17
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 25 citations resulted from standard inspections; 3 of 25 resulted from complaint investigations; and 1 of 25 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
0 critical citations
1 serious citation
23 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy moderate citation
Jul 29, 2025
Corrected
Environmental moderate citation
Mar 21, 2024
Corrected
Pharmacy moderate citation
Mar 21, 2024
Corrected
Pharmacy moderate citation
Mar 21, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
10
-
+42%-2%+18%
Shepherd of the Hills Living Center
-36%
+16%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65616-8154
100
-
-
78.2%
$6,795,842.00
$3,061,228.00
45%
78
4.3177
25
1
-36%+16%+17%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
38
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Shepherd of the Hills Living Center
Type of care:
SNF
AL
Community:
MO 65616-8154
Bed Count:
100
CCN:
265393
Occupancy:
78.2%
Home Revenue:
$6,795,842.00
Payroll Costs:
$3,061,228.00
Payroll %:
45%
Avg Residents/Day:
78
Overall Rating:
Adj Nurse Hours:
4.3177
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
25
Severe Citations:
1
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
+16%
+16%
Occupancy vs State Avg:
+17%
+17%
Places of interest near Shepherd of the Hills Living Center
0.0 miles from city center
BRANSON, MO 65616-8154
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
121
Total Staff
97
Employees
24
Contractors
28,341
Total Hours (Quarter)
41
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 8.7 | No |
| Licensed Practical Nurse | 13 | 8.3 | No |
| Certified Nursing Assistant | 36 | 7.9 | No |
Staff by Category
Administration ⓘ
1 staff
7.7hs shift avg
Nursing Staff ⓘ
93 staff
7.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
20 staff
5.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
4hs shift avg
Dietary Services ⓘ
1 staff
7.5hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
7.4%
of total hours from contractors
2,093 contractor hours this quarter
Speech Language Pathologist: 6
Respiratory Therapy Technician: 2
Qualified Social Worker: 3
Physical Therapy Aide: 5
Physical Therapy Assistant: 4
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 1
Clinical Nurse Specialist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 36 | 0 | 36 | 10,766 | 91 | 100% | 7.9 |
| Nurse Aide in Training | 24 | 0 | 24 | 4,384 | 91 | 100% | 7.1 |
| Medication Aide/Technician | 12 | 0 | 12 | 4,257 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 13 | 0 | 13 | 2,958 | 91 | 100% | 8.3 |
| Registered Nurse | 6 | 0 | 6 | 1,235 | 87 | 96% | 8.7 |
| RN Director of Nursing | 2 | 0 | 2 | 691 | 66 | 73% | 8.4 |
| Physical Therapy Aide | 0 | 5 | 5 | 611 | 68 | 75% | 6.1 |
| Speech Language Pathologist | 0 | 6 | 6 | 572 | 70 | 77% | 6.6 |
| Dental Services Staff | 1 | 0 | 1 | 529 | 66 | 73% | 8 |
| Dietitian | 1 | 0 | 1 | 481 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 477 | 62 | 68% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 471 | 59 | 65% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 426 | 63 | 69% | 6.8 |
| Qualified Social Worker | 0 | 3 | 3 | 231 | 58 | 64% | 4 |
| Physical Therapy Assistant | 0 | 4 | 4 | 152 | 46 | 51% | 3.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 72 | 9 | 10% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 7 | 1 | 1% | 6.5 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
73 residents
Residents by payment source
Medicare
8 residents (11%)
Medicaid
48 residents (65.8%)
Private pay or other
17 residents (23.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.0
37% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.6
42% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
27% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
40.0%
Percent of long-stay residents whose ability to move independently worsened
40.0%
94% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
In line with Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
35% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.4%
Percent of long-stay high risk residents with pressure ulcers
3.4%
32% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
9.3%
Percent of long-stay residents with a urinary tract infection
9.3%
240% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
32% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.9%
Percent of long-stay residents who have depressive symptoms
0.9%
93% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.0%
Percent of long-stay residents who received an antipsychotic medication
12.0%
46% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
43.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
43.2%
49% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
68.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
68.3%
25% worse than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
31.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
31.6%
53% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
82% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.0%
32% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Shepherd of the Hills Living Center based on CMS SNF Cost Reports.
Occupancy Rate
78.2%
↑ 5.4pp vs 2022
Net Income
-$216,713
↑ ~$97K vs 2022
Total Payroll
$3,929,155
↑ ~$581K vs 2022
Profit Margin
-3.2%
↑ 1.9pp vs 2022
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